How do I qualify for Botox for migraines? OnabotulinumtoxinA, or Botox, was approved in 2010 for adults who get chronic migraines. That means you have both: A history of migraine headaches. Headaches (including tension-type) on most days (15 or more) of the month that last 4 hours a day or longer.
Is Botox for migraines covered? Because Botox is FDA approved for chronic migraine, it’s covered by most plans, including Medicare and Medicaid.
Is Botox covered by insurance? 99% of commercial insurance plans cover the majority of BOTOX® costs. The BOTOX® Savings Program helps eligible patients receive money back on any out-of-pocket costs not covered by insurance. Have Medicare? You may be able to qualify for assistance from Medicare.
Why is Botox not covered by insurance? Since Botox is only FDA-approved to treat chronic migraines, using it for other types of headaches is considered off-label treatment. This means that your insurance company may not cover the cost of treatment.